Provider Demographics
NPI:1487994489
Name:MEINERZ, HEIDI JANE (OTR)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:JANE
Last Name:MEINERZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4356 S REGAL CT
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53151-6737
Mailing Address - Country:US
Mailing Address - Phone:262-720-8020
Mailing Address - Fax:
Practice Address - Street 1:4356 S REGAL CT
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:WI
Practice Address - Zip Code:53151-6737
Practice Address - Country:US
Practice Address - Phone:262-720-8020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4955-26225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist